Location:
Avera Downtown Building-Sioux Falls
Worker Type:
Regular
Work Shift:
Day Shift (United States of America)
Pay Range:
The pay range for this position is listed below. Actual pay rate dependent upon experience.
$28.00 - $41.75
Position Highlights
You Belong at Avera
Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter.
A Brief Overview
Responsible for the timely and accurate assignment of diagnostic and procedural codes for most @types of inpatient charts for a across multiple facilities within Avera Health with a focus on the more complex and high-dollar cases. Accurate abstracting, along with other reporting and editing functions to meet quality and production goals for the position, with occasional guidance from other professional staff. Provide mentorship and training to Coder I, II, and III's along with helping others with denials management.
What you will do
Review all aspects of a patient's clinical documentation in order to identify the appropriate sequence of ICD-10-CM diagnosis and PCS procedure codes for assigned patient charts across Avera's facilities. Understand the basics of ICD-10-CM and PCS codes in depth, and be willing to update that knowledge through research or other educational opportunities.
Coder III - In patient is distinguished by specific services lines which could include but not limited to the following: Cardiothoracic, Surgery of various specialties, Oncology, ICU and others as appropriate.
Expected to have a mastery level of knowledge for the majority of patient @types encountered in the inpatient service line and code those @types as needed.
Focused on determining the appropriate DRG based on insurance and/or medical coding for inpatient charts or other charts as necessary for the inpatient service line.
Serves as a subject matter expert for other health professionals within Avera on these topics on occasion.
Queries physicians and clinical documentation staff to ensure a full capture of the clinical record for appropriate DRG classification and/or medical coding.
Assist with the training of new employees and communications between health information management, billing, and providers as needed.
Assist staff with denials management, including the processing of edits, serving as subject matter expert, or helping to provide input with medical necessity and guidance from coding guideline references as needed for appeals.
Maintains personal quality and production statistics in accordance to service line standards for a Coder I. Adheres to ethical standards regarding coding as set by Avera Health.
Essential Qualifications
The individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer.
Required Education, License/Certification, or Work Experience:
Certified Coding Specialist - Physician-based (CCS-P) - American Health Information Management Association (AHIMA) within 180 Days or
Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA) within 180 Days or
Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA) within 180 Days or
Registered Health Information Tech (RHIT) - American Health Information Management Association (AHIMA) within 180 Days
Preferred Education, License/Certification, or Work Experience:
Associate's Health Information Administration or Health Information Technology
4-6 years of coding experience.
Expectations and Standards
Commitment to the daily application of Avera's mission, vision, core values, and social principles to serve patients, their families, and our community.
Promote Avera's values of compassion, hospitality, and stewardship.
Uphold Avera's standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity.
Maintain confidentiality.
Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment.
Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable.
Benefits You Need & Then Some
Avera is proud to offer a wide range of benefits to qualifying part-time and full-time employees. We support you with opportunities to help live balanced, healthy lives. Benefits are designed to meet needs of today and into the future.
PTO available day 1 for eligible hires.
Up to 5% employer matching contribution for retirement
Career development guided by hands-on training and mentorship
Avera is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, Veteran Status, or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-605-504-4444 or send an email to talent@avera.org .
At Avera, the way you are treated as an employee translates into the compassionate care you deliver to patients and team members. Because we consider health care a ministry, you can live out your faith, uphold the dignity and respect of all persons while not compromising high-quality services. Join us in making a positive impact on moving health forward.
The policy of Avera to provide opportunities for all qualified employees or applicants without regard to disability and to provide reasonable accommodations for all employees or applicants who may be disabled. Avera is committed to ensuring compliance in accordance with the Americans with Disability Act. For assistance, please contact HR Now at 605-504-4444.
Additional Notices:
For TTY, dial 711
Avera is an Equal Opportunity/Affirmative Action Employer: Minority/Female/Disabled/Veteran/Sexual Orientation/Gender Identity.
